Calvo-Fuente Victoria, Soto-Vidal Concepción, Ramón-Corcoba Ana, Cerezo-Téllez Ester, Pérez-Martín Yolanda, Pacheco-da-Costa Soraya
Neuromusculoskeletal Physical Therapy in Stages of Life Research Group (FINEMEV), Department of Nursing and Physical Therapy, Faculty of Medicine and Health Sciences, Universidad de Alcalá, Autovía A2, km 33.200, Alcalá de Henares, 28805 Madrid, Spain.
Centro Angel Vacas, Torres de la Alameda, 28813 Madrid, Spain.
Children (Basel). 2024 Apr 17;11(4):480. doi: 10.3390/children11040480.
Cerebral palsy (CP) is one of the primary causes of physical disabilities in children that affects posture and movement. Upper-extremity (UE) function is frequently impaired, which may result in activity and participation limitations in people with CP. The use of kinesiotape (KT) has increased in the treatment of CP for various purposes. The aim of this systematic review was to assess the efficacy of KT for improving UE function in children and adolescents with CP.
The literature search was carried out in PubMed, Cochrane, PEDro, Web of Science and SCOPUS databases. The methodological quality was analyzed with the PEDro scale. Review Manager (RevMan 5.4.1) was used for data extraction and risk of bias assessment.
A total of five randomized clinical trials were included. The use of KT showed improvement in UE functionality in three studies, with significant outcomes for range of motion (ROM) (three studies), fine motor skills (two studies), grip strength (one study) and manual dexterity (one study). Moreover, it also showed significant improvements in spasticity and gross motor function (one study). Overall, methodological quality was moderate, and the risk of bias was high in the domains related to blinding.
The use of KT showed improvement in UE function in children and adolescents with CP. However, further research is needed to reinforce the conclusions on the efficacy of KT as a therapeutic tool.
脑瘫（CP）是导致儿童身体残疾的主要原因之一，会影响姿势和运动。上肢（UE）功能常受损害，这可能导致脑瘫患者的活动和参与受限。出于各种目的，肌内效贴布（KT）在脑瘫治疗中的应用有所增加。本系统评价的目的是评估KT对改善脑瘫儿童和青少年上肢功能的疗效。
在PubMed、Cochrane、PEDro、科学网和Scopus数据库中进行文献检索。采用PEDro量表分析方法学质量。使用Review Manager（RevMan 5.4.1）进行数据提取和偏倚风险评估。
共纳入五项随机临床试验。在三项研究中，使用KT显示上肢功能有所改善，在运动范围（ROM）（三项研究）、精细运动技能（两项研究）、握力（一项研究）和手灵巧性（一项研究）方面有显著结果。此外，在痉挛和粗大运动功能方面也有显著改善（一项研究）。总体而言，方法学质量中等，在与盲法相关的领域偏倚风险较高。
使用KT显示脑瘫儿童和青少年的上肢功能有所改善。然而，需要进一步研究以加强关于KT作为治疗工具疗效的结论。
